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LABORATORY HAZARD ASSESSMENT FOR NEW OR MODIFIED PROCESSES (New Jersey Institute of Technology)

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NEW JERSEY INSTITUTE OF TECHNOLOGY
LABORATORY HAZARD ASSESSMENT
FOR NEW OR MODIFIED PROCESSES OR
PROCEDURES*
Requestor: Date of Request:
Telephone: E-mail:
Name of Project:
Department Chair: Department:
Building / Room:
Chair Telephone: E-mail:
PERSONNEL PROPOSED FOR THIS PROJECT
All personnel authorized to handle hazardous materials, biological agents or
radiological material must complete NJIT safety training. List the personnel
participating in the proposed activity and the required training:
Personnel
Training Completion Date
ther Applicable Training
LABORATORY OPERATIONS, PROCEDURES OR ACTIVITY
Briefly describe the operation, procedures or activity. You can also attach activity
description or other NJIT Laboratory Application.
*29 CFR 1910.1450 - “The circumstances under which a particular laboratory operation, procedure or activity shall require
prior approval from the employer or the employer’s designee(s) before implementation”
POTENTIAL HAZARDS
Review the Hazard Description (column 3) of each Exposure Condition (column 2) and
check the ones that are present (column 1). For every condition present, review the
Examples of Engineering Controls and Personal Protective Equipment (column 4) and
then complete the Specific Engineering Controls and PPE (column 5) that you intend
to use to reduce or eliminate the hazard.
Check if
Present
Exposure
Condition
Hazard Description
Examples of
Engineering Controls
and Personal
Protective Equipment
(PPE)
Specific Engineering Controls
and Personal Protective
Equipment (PPE)
Biological Hazards
Animals
(vertebrate)
Splash, bites, exposure to
animal body fluids; injuries
due to animal size, caging,
allergies, and disease
transmission
Requires approval by
IACUC, May require IBC
Approval
Animals
(invertebrate)
Splash, bites, exposure to
animal body fluids; injuries
due to animal size, caging,
allergies, and disease
transmission
May require IBC approval
Carcinogens Cancer
May require IBC
approval. Posted work
areas, glove box, fume
hood, special handling,
and gloves
Human Blood
or other
potentially
infectious
materials
Disease transmission
May require IRB and IBC
approval; Blood-borne
Pathogen training, and
Universal Precautions
I
nfectious
Pathogens
Disease transmission
Will require IBC approval.
Good microbiological
methods, engineering
controls, gloves
Nano-particles
Unknown health hazards
due to small size
Will require IBC approval.
Containment, respirators
Recombinant
DNA
Depends on nature of DNA
segments, host vector
systems. Introduction of
foreign genetic materials
into personnel or
environment
Requires IBC Approval;
Good microbiological
methods, engineering
controls, gloves
2
EHS008 1450 Form September 2015
Check if
Present
Exposure
Condition
Hazard Description
Examples of
Engineering Controls
and Personal
Protective Equipment
(PPE)
Specific Engineering Controls
and Personal Protective
Equipment (PPE)
Select agents
and toxins
Infectious agents and
toxins with potential to
pose a severe threat to
human health.
Contact EHS/IBC
Requires IBC approval.
See
www.selectagents.gov
Chemical Hazards
Chemicals, low
hazard with low
splash probability
Skin and eye irritation
Safety glasses, chemical
resistant gloves, lab coat,
closed shoe of good
structure, long pants; Be
aware of the nearest
eyewash and shower
Compressed
gases
Asphyxiation, accidental tip
over, content release and
pinch points
Gas cylinders must be
secured to stationary
objects in a safe location
away from danger or
impact; Safety glasses
and gloves
Controlled
Substances
Drugs and certain other
chemicals (narcotic and
non-narcotic)
Proper training, handling
& dispensing procedures,
recordkeeping, safety
glasses; Under the
jurisdiction of federal and
state laws
Corrosive liquids
w/reasonable
probability of
splash
Skin and eye damage
Chemical splash goggles
or face shield, neoprene
gloves, lab coat, closed
shoes, chemical resistant
apron
Cryogenic
liquids, ultra-cold
freezers, dry ice
Asphyxiation, skin, eye and
tissue damage, frostbite
Ventilation, safety
glasses, goggles or face
shields for splash
hazards, insulated
gloves, closed shoes
Organic solvents
Skin/eye damage,
absorption through skin,
organ damage
Chemical splash goggles
or face shield, heavy
resistant gloves, lab coat,
closed shoes, chemical
resistant apron, eyewash
and shower
hazardous or
highly hazardous
Inhalation of toxic vapors,
skin contact
Fume hood, glove box,
safety glasses, and
gloves
3
EHS008 1450 Form September 2015
Check if
Present
Exposure
Condition
Hazard Description
Examples of
Engineering Controls
and Personal
Protective Equipment
(PPE)
Specific Engineering Controls
and Personal Protective
Equipment (PPE)
Regulated
Wastes
Exposure, environmental
release
Safety glasses, gloves,
proper storage and
disposal procedures;
Training and safe
handling procedures
Special
cleaning agents
Exposure, allergies
Material Safety Data
Sheets, hazard
communication training,
proper procedures,
gloves, safety glasses
T
oxic
Substances
Poisons, neurotoxins,
teratogens, mutagens,
carcinogens, and
subsequent environmental
impact.
Proper training,
procedures, storage, and
disposal
Washing
glassware
Skin lacerations from
broken glass
Safety glasses, rubber
gloves, lab coat.
Radiological Hazards
I
onizing
Radiation
Cancer, teratogenic
Time, distance, shielding;
Permit and controls
approved by Radiation
Safety Committee
Non-Ionizing
Radiation
Eye or skin damage,
burns, heat, cancer.
Training, curtains
(welding), signage,
interlocks, beam blocks,
safety eyewear
Physical Hazards
Compression
(pressure)
Injury from sudden release
of energy from valves,
compression chambers
Energy control, safety
classes, shields, body
position
Confined
Spaces
Exposure, falls, dangerous
atmospheres,
asphyxiation, noise,
vibration
Buddy system, lanyards,
ventilation, monitoring
Elevated
heights
Fall injury Lanyards, anchors
Energized
Equipment
Pinch, crush, caught,
pulled in, electrocution
Energy control, signage,
guards, no jewelry, tie
back long hair
E
xtreme
Environmental
Conditions
Hypothermia (cold),
frostbite (cold), heat
exhaustion (heat) or heat
stroke.
Training, physiological
monitoring. Rest cycles
and fluid replacement
4
EHS008 1450 Form September 2015
Check if
Present
Exposure
Condition
Hazard Description
Examples of
Engineering Controls
and Personal
Protective Equipment
(PPE)
Specific Engineering Controls
and Personal Protective
Equipment (PPE)
Impact Injury to head or body
Hard hat, impact
resistant toed shoes,
body position
Manipulation of
large objects
Injury, death
Training, proper lifting
equipment, procedures,
inspections, buddy
system
Mat
erial
Handling
Physical injury, strains,
sprains
Training, buddy system,
gloves, standard
operating procedures
N
oise
Deafness, hearing
damage, inability to
communicate
Noise monitoring,
hearing protection,
training, and engineering
controls (e.g.,
enclosures, baffles,
mufflers)
Penetration Injection, wounds
Training, padding of
surfaces, signage, and
body position
Respirable
Dust
Lung damage
Local exhaust ventilation.
monitoring, respirator
Vibrating
Equipment
Cumulative trauma
disorders.
Gloves, protective shoes,
hearing protection
Additional notes and information:
5
EHS008 1450 Form September 2015
CHEMICAL/BIOLOGICAL/RADIOLOGICAL MATERIALS TO BE USED
Name
CAS #
Synonym
Storage Location
Frequency of
Use
Maximum
Quantity
Stored
Hazard
Attach Safety Data Sheet for each listed material.
CONTROL PROCEDURES - Describe controls that will be employed to protect the
individuals participating in this research or attach IBC application.
DECONTAMINATION PROCEDURES (surfaces, materials, instruments, personnel,
equipment, etc.) or reference IBC application:
DISPOSAL PROCEDURES (wastes and unused stock):
6
EHS008 1450 Form September 2015
The information above is accurate and complete. I agree to abide to all applicable NJIT,
federal, state and local regulatory requirements.
Requestor: _______________________________________
Signature
-------------------------------------------------------------------------------------------------------------------------
Reviewed by Department Head (Required)
Name: __________________________ Date: _____________________
Reviewed by EHS (Required)
Name: __________________________ Date: ____________________
Reviewed by Vice Provost for Research (If applicable)
Name: __________________________ Date: ____________________
Reviewed by Facilities (If applicable)
Name: __________________________ Date: _____________________
Reviewed by IBC (If applicable)
Name: __________________________ Date: ____________________
Reviewed by IRB (If applicable)
Name: __________________________ Date: ____________________
Reviewed by IACUC (If applicable)
Name: __________________________ Date: ____________________
Reviewed by Risk Management (If applicable)
Name: __________________________ Date: _____________________
Approval Conditions
(To be verified by EHS Department)
1)
2)
3)
4)
5)
See Attachment for additional conditions.
7
EHS008 1450 Form September 2015
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Completed 24 August 2020

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